World Health Organization : Year 1996 ; World Health Organization, Prevention of Blindness, No. 96.56: Future Approaches to Trachoma Control Report of a Global Scientific Meeting

By R. H. Henderson, Dr.

Book Id: WPLBN0000139336
Format Type: PDF eBook:
File Size: 1.71 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1996 ; World Health Organization, Prevention of Blindness, No. 96.56: Future Approaches to Trachoma Control Report of a Global Scientific Meeting
Author:	R. H. Henderson, Dr.
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago H. Henderson, Dr, B. R. (n.d.). World Health Organization : Year 1996 ; World Health Organization, Prevention of Blindness, No. 96.56. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
INTRODUCTION A global scientific meeling on Future approaches to trachoma control was convcncd by the WllO Programme fix the Prevention of Blindness and Deafness, from 17 to 20 June in Ciencva, Switzerland. The meeting was supported by The Edna McConnell Clark Foundation and the Task Force of the Partnership Committee of Nongovernmental Organizations collaborating with the WHO Programme. Dr K. H. I4enderson, Assistant Director-General, opened the mecting, pointing out that WHO had initially addressed the problem of trachoma as early as the Third World Health Assembly in 1950. However, despite activities undertaken and progress made in several Membcr States, trachoma remains a public health problem in the economically weak areas of thc world, being today a disease of the poorest of the poor.

Table of Contents
TABLE OF CONTENTS INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. . 1 . MAGNITUDE OF THE PROBLEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. 1.1 General aspects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. 1.2 Geographical distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 2 . PAST PROGRESS AND CONSTRAINTS IN TRACIIOMA CONTROL . . . . . . . . 7 3 . PRIMARY HEALTH CARE APPROACH TO TRACHOMA CONTROL . . . . . . 10 4 . ASSESSMENT OF TRACHOMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.1 4.1 Clinical assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.1 4.2 Epidemiological assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.3 4.3 Laboratory assessn~ent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.3 5 . CHEMOTHERAPY OF TMCPIOMA . . . . . . . . . . . . . . . . . . . . . .13 5.1 Topical treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 5.2 Systemic treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 5.2.1 General experience . . . . . . . . . . . . . . . . . . . . . . . . . .14 5.2.2 Azithromycin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 G . PROVISION OF TRlCHIASIS SURGERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 6 netinition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I.h 6.1 Strategies . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.6 6.1.1 Eplatlon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16. 6.1.2 Electrolysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 6. 6.1.3 Cryoa.b la. tion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 6 6.1.4 Trichaslss urgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.6 6.2 Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I.6 6.3 Training requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.7 6.4 Community-based trichiasis surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.7 7 . HYGIENE PROMOTION AND COMMUNITY SUPPORT . . . . . . . . . . . . . . . . . . 18 8 . FUTURE OPENINGS '1'0 GLOBAL TRACHOMA CONTROI. . . . . . . . . . . . . . . 18 8.1 Priority research topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 8 8.1.1 Azithromycin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 8 8.1.2 Rapid assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.9 8.1.3 Community-based trichiasis surgery . . . . . . . . . . . . . . . . . . . . . . . . .19 8.1.4 SAFE strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.9 8.2 Resoul-ce mobilization and coordinatioll of work . . . . . . . . . . . . . . . . . . . . . 19